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INDIA NON JUDICIALitGG,i3i3s72s5l
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Government of Gujarat

Regd,NoT ZtQg Rs.

Date ; LV'3'Zo'U r-
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Certlficate of $tamp Du$

Gertificate No IN-GJg3357285107348V

Certificate lssued Date : 28-Mar-202310:10 AM

CSCACC (GV)/ gjcscegOTl GJ=BAR|T0112l GJ-BA
Account Reference

Unique Doc. Reference suBrN-GJGJCSCEG0793660392850278V

Purchased by PANDYA GAURANG JASVANTRAI

Uescriplion ot Document Article 14 Bond

Descrip:ion AFFIDAVIT
0
Consideration Price (Rs,) (Zero)

First Party P.ANDYJfu GA.U HAN G JASVANTRA I

Second Party Not Applicable

Stamp Duty Paid By PANDYA GAURANG JASVANTRAI

100
Stamp Duty Amount(Rs.) (One Hundred only) U

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A.' \ rlis,' '+i3flaly in th8 d€tails on this Certrlicate and *s availsble on ths wehsit-s I Mr}bile App rsr.1e(5 it intralid.
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NOTilCE
a The contents of this e-stamp certificate can be verified at
www.shcilestamp.com, Stock Holding mobile application
"EStamping" or at Stock Holding Branch/ Gentre (the details of which
are available at www.stoc nq.com).

Any alteration to this certificate renders it invalid and would

constitute a criminal offence.

Kindly contact Stock Holding Branch / Gentre in case of discrepancy.

For information related to e-stamping you may write to us on

our email id estamp.ahmedabad@stockholding.com or visit our
Branch/Centre.
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UJ I PANDYA GAURANG JASVANTRAI aged 38 years, lndian lnhabitant occupation SELF EMPLOYED Resident

of VADODARA., GUJARAT, INDIA is father of VRUSHALI GAURANG PANDYA Date of Birth 29/A4|ZO17
Submitting my undertaking to the Heacj oithe lnstitution in Ciass iVide KVS Acimission Guicielines 2023

1) I hereby declare that Miss VRUSHALI GAURANG PANDYA is the only girl child in my family ( with

no male/female sibling). I understand that it shall be my sole responsibility to inform you about

any change in status of single girl child in the family immediately, if and when it occurs.

7') I am also aware that in case it is detected at any time that the affidavit sworn by me is false,

appropriate action will be taken by the school authorities and KVS against me.

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Signature of father
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{Pandya Gaurang J
\1 iPandya Divya Gaurang)
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Residentia I add ress with Contacf nuriiber:

A2-24L, Ratna Heaven, Vadodara-Dabhoi Road,

Rata n pur; Vadoda ra-390004, G uja rat.

Mobile No. +91-8979949'119

Solemnly affirmed at: Vadodara, Gujarat

This 25 day of March 2023

BEFORE ME

Explained and identified by me,

Advocate

SolernnlY FfiftrrrdtDSuet,
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